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Homestead_Montgomery (2)
H. PREPARER Preparer of the Sales Disclosure Form Title Milton Norman _ .. Settlement A,ent Company E-mail address Address(number and street,city,state.country,and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 L.SELLER(S)IGRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Matthew E.Smith Address(number and street Address(number and street 'y 3, 1t City,slate,and ZIP Code City,slate,and ZiP Code Li v l 1, ✓i 7 '2 Country Country US E-mail address ©'� GIB ( _ ihs Under penalties of perjury,i hereby certify this Sales Disclosure,to the best of my knowledge an-iigQjgff - and complete as required by law,and Is prepared in accordance with IC 6-4.i-5.5.A person who knowingly and intentional fay: value of transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signatur tiller Signature of Seller Printed Name of Seller Date signed(mm efdlyyyy) ' Printed Name of Seiler 1 Date signed(mmldd/yyyy) ( Matthew E.Smith 31 . y_. J. BUYER(S)fGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1-Name as it appears on conveyance document Buyer 2--Name as it appears an conveyance document Bryan E.Montgomery Address(number and street) Address(number and street) _ City,slate.and ZIP Code City,state,and ZIP Code Oakland City,IN 47660 r" Country Country US certain deductions.Identify all of those that apply: YES NO CONDITION _. YES NO CONDITION 1,Will this property be the buyer's primary Et 0 3.Homestead ►4 0 residence? 0 CS 4.Solar Energy Heating or Cooling System 0 r________ 2.Does the buyer have a homestead to be vacated ® 5.Wind Power©evice for this residence?If yes,provide address: ® 6.Hydroelectric Power Device Address{number and street} 0 (�i 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county t46-elO _OZSod -O0Q- 12..1 - 001 . Under penalties of perjury,I hereby certify that this Sates Disclosure,to the best of my knowledge and belief,is true,correct and complete h 7 4 1p